Individual
MS. EMILY SUSAN CERVANTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
303 E BASELINE RD STE 107, PHOENIX, AZ 85042-6561
(602) 323-3342
Mailing address
4650 N CENTRAL AVE UNIT 317, PHOENIX, AZ 85012-1082
(480) 298-7159
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86007532
AZ
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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